TreeHouse Exatex

Beneficiary Declaration Form

Employee No.:____________________ Location:_________________________

I, Shaikh Shahrukh holding CNIC No. 42101-6692999-1 being an employee of TreeHouse Exatex - hereby nominate:

Mr. / Mrs. / Miss Shaikh Shahrukh s/o, d/o, w/o Shaikh Muhammad Zahoor Alam having CNIC No. 42101-7423300-9

resident of VIP Faisal City Flat no: A-13 (2 nd-floor) Sector 11c-1 North Karachi (who is my Son) to receive the amount

which may stand to my credit with TreeHouse Exatex - in the event of my death.

19-05-2021 _________________________
Date Signature of Employee

Two witnesses to the signature of the Employee who shall sign in the presence of each other and in that of the
Employee, all being present at the same time.

1) Name: Sabah Shaikh holding CNIC No. 42101-3144273-0

Signature: Address: VIP Faisal City Flat no: A-13 (2 nd-floor) Sector 11c-1 North

Karachi

2) Name: Shaikh Muhammad Zahoor Alam holding CNIC No. 42101-7423300-9

Signature: Address: VIP Faisal City Flat no: A-13 (2 nd-floor) Sector 11c-1 North

Karachi

__________________ _________________________
Date Signature of HR Manager